The document outlines a template for monitoring fluid balance over three intervals (I, II, III). It tracks fluid intake from drinking and IVs, output from urine and other sources, and calculates fluid balance and 24-hour balance. The template is repeated for monitoring over multiple intervals.
The document outlines a template for monitoring fluid balance over three intervals (I, II, III). It tracks fluid intake from drinking and IVs, output from urine and other sources, and calculates fluid balance and 24-hour balance. The template is repeated for monitoring over multiple intervals.
The document outlines a template for monitoring fluid balance over three intervals (I, II, III). It tracks fluid intake from drinking and IVs, output from urine and other sources, and calculates fluid balance and 24-hour balance. The template is repeated for monitoring over multiple intervals.
1 MINUM 1 MINUM INFUS AWAL : INFUS AWAL : INFUS AKHIR : INFUS AKHIR : 2 INFUS MASUK 2 INFUS MASUK TOTAL INPUT TOTAL INPUT CAIRAN KELUAR CAIRAN KELUAR 1 URINE 1 URINE 2 2 TOTAL OUTPUT TOTAL OUTPUT BALANCE CAIRAN BALANCE CAIRAN BALANCE CAIRAN 24J BALANCE CAIRAN 24J CAIRAN MASUK I II III CAIRAN MASUK 1 MINUM 1 MINUM INFUS AWAL : INFUS AWAL : INFUS AKHIR : INFUS AKHIR : 2 INFUS MASUK 2 INFUS MASUK TOTAL INPUT TOTAL INPUT CAIRAN KELUAR CAIRAN KELUAR 1 URINE 1 URINE 2 2 TOTAL OUTPUT TOTAL OUTPUT BALANCE CAIRAN BALANCE CAIRAN BALANCE CAIRAN 24J BALANCE CAIRAN 24J
MONITOR BALANCE CAIRAN
NO CAIRAN MASUK I II III NO CAIRAN MASUK 1 MINUM 1 MINUM INFUS AWAL : INFUS AWAL : INFUS AKHIR : INFUS AKHIR : 2 INFUS MASUK 2 INFUS MASUK TOTAL INPUT TOTAL INPUT CAIRAN KELUAR CAIRAN KELUAR 1 URINE 1 URINE 2 2 TOTAL OUTPUT TOTAL OUTPUT BALANCE CAIRAN BALANCE CAIRAN BALANCE CAIRAN 24J BALANCE CAIRAN 24J CAIRAN MASUK I II III CAIRAN MASUK 1 MINUM 1 MINUM INFUS AWAL : INFUS AWAL : INFUS AKHIR : INFUS AKHIR : 2 INFUS MASUK 2 INFUS MASUK TOTAL INPUT TOTAL INPUT CAIRAN KELUAR CAIRAN KELUAR 1 URINE 1 URINE 2 2 TOTAL OUTPUT TOTAL OUTPUT BALANCE CAIRAN BALANCE CAIRAN BALANCE CAIRAN 24J BALANCE CAIRAN 24J I II III